Paula Codwise, Cpc Email & Phone Number

• Lead and direct revenue cycle functions including facility-based and non-facility billing and coding, A/R and collections, billing system set-up and maintenance, under/overpayment activities. Align the team with.
• Launched a new EMR/PM system and guided 6+ teams through training, testing, and go-live with 40+ pain management providers across three states.
• Work collaboratively with other departments/executive leadership to identify, install & manage revenue performance improvement initiatives.
• Measure & manage staff performance/productivity and employment standards.
• Provided analysis and data driven recommendations to executive leadership and providers
• Assess efficiency of departments practices to ensure the compliance with, and develop or update, department standard operation policies and procedures.

Raleigh, NC

• The Billing & Coding Manager is responsible for providing overall insight, management, and compliance for the full billing & coding revenue cycle for the pain management division. This position is responsible for.
• Provide guidance on documentation requirements, queries, and documentation improvement processes.
• Communicates coding and DRG findings to management, including applicable references, as appropriate.
• Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
• Audit coders work to determine proper codes for medical records and patient services were selected.
• Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.

Raleigh, North Carolina, United States

• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
• Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
• Interacted with physicians and other healthcare staff to ask questions regarding patient services.
• Applied charges and updated patient records by using Medsuite.
• Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• Verified signatures and checked medical charts for accuracy and completion.

Raleigh, North Carolina, United States

• Monitored and guided revenue cycle operations.
• Supported clinical team members with all revenue cycle procedures and addressed any issues as needed.
• Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
• Completed financial reporting and analysis for billing revenue cycle.
• Identified discrepancies between budgetary targets and actual revenue and expenses.
• Handled job duties for staff members which were unavailable or out of office.